Should I have a full rhinoplasty or should I only have tip plasty? (Photo)

Question

39 F 5'6 140lbs. Should I have a full rhinoplasty or tip plasty? My nose is large and just doesn't look right?

Gary M. Horndeski, MD · Answer

A tip plasty would be inadequate as your nose is long.  You will need the entire rhinoplasty done.  You may need the septum evaluated.

Best Wishes,

Gary Horndeski, M.D.

Thomas Trevisani, MD · Answer

In person exam is essential. Based on limited photos- it appears that you would benefit from Rhinoplasty preferably performed through a closed technique. In the right experienced hands - you can expect a more elegant and refined nose.  I suggest that you seek a Board Certified PS with extensive Rhinoplasty experience.

Eric M. Joseph, MD · Answer

Since the lower part of your bridge is over-projected, when your bridge is lowered for a more pleasing appearance, that could lead to bridge widening. Generally, osteotomies are necessary to provide nasal narrowing. Consider meeting with several reputable rhinoplasty specialists who offer computer Imaging so you can see what might be best for you moving forward. Thank you for your question. Sincerely, Dr Joseph

Steven M. Denenberg, MD · Answer

What I see is a nose that is very long, with the tip pointing down. And you have that gentle bump along the bridge. Then, the 2nd photo, which is just barely a 3/4 view, seems to show wide, strong tip cartilages. All of these can be improved.

Would that be a full rhinoplasty or a tip rhinoplasty? Who cares? Certainly, the great majority of the work is on the tip, but what we call the operation really doesn't matter.

How *much* to elevate or narrow the tip, or lower the bump, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs -- particularly the large shortening of the nose -- require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

Ronald J. Edelson, MD · Answer

I think your result will be far better with a full rhinoplasty. Your tip needs to be elevated considerably and the bones narrowed.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photos, you have hanging columella also your nose very droopy tip, for get rid of this image I recommend you rhinoplasty surgery.
It would be better face to face consultation.
Best regards!

Shabnam Ghazizadeh, MD · Answer

Hi @cgh1894, Excellent question. I would recommend a consultation with a rhinoplasty specialist. Tipplasty has very limited indications and patients often need to address the global appearance of the nose to achieve their desired result. Best of luck, Dr. Ghazizadeh

Neil Tanna, MD, FACS · Answer

The important question here is if the nasal tip is an isolated complaint. If you feel that the nasal bridge needs to be modified, then consider a full rhinoplasty.

Robert Ciardullo, MD · Answer

Full rhinoplasty versus nasal tip plasty:based on the pictures you show, your nose is long and has a bulbous tip which is quite drooping. There would be more than just a tip plasty involved to refined the bulbous tip and lift it, but you may not need nasal bony work. It is rare that this is the case and that a more limited surgery will suffice, so in making the nose smaller and shorter it may well be that the best results would be obtained with a full rhinoplasty.

William Portuese, MD · Answer

To ensure that all of the components of your nose balance with each other in a three dimensional fashion, a full rhinoplasty is going to be required.

Should I have a full rhinoplasty or should I only have tip plasty? (Photo)

Answers (13)

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